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???? Intravenous infusion/ Intravenous Administration

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Intravenous infusion/ Intravenous Administration Objectives . – PowerPoint PPT presentation

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Title: ???? Intravenous infusion/ Intravenous Administration


1
????Intravenous infusion/ Intravenous
Administration
  • ??????????
  • ? ?

2
Objectives ??????????
  • ?. ??
  • 1. ???????????
  • 2. ????????????????

3
  • ?. ??
  • 1.????????????
  • ??
  • 2.?????????
  • 3.?????????????
  • ?????????

4
  • ?. ??
  • 1.??????????????
  • 2.?????????????
  • ???????

5
Intravenous infusion is the method that a large
volume of solution infused into body to handle
fluid and electrolyte disturbance.
  • ??????????---
  • ?????? gt???
  • ?? 1. ????
  • 2. ?????
  • 3. ????

6
??Purposes
  • 1. Keep balance of fluid, electrocyte, and
    acid-base ????????,??????
  • 2. Supply nutrient substances ????
  • 3. Supply medication ????
  • 4. Increase the blood volume ?????
  • 5. Establish a lifeline

7
??Types and functions of solutions(?) According
to Osmotic pressure
  1. Isotonic
  2. Hypertonic
  3. Hypotonic

8
(?)According to Functions
  • 1. Crystal solution ????
  • Nutrient solutions 5Glucose,
  • 5Dextrose in
    water(D5W),
  • 5Dextrose in
    o.45 sodium chloride
  • Electrolyte solutions NS (0.9 sodium
    chloride)
  • Ringers
    solution
  • Lactated
    Ringers solution
  • Alkalinizing solution Lactated Ringers
    solution
  • 5 NB
  • Hypertonic solution 50GS, 20 mannital

9
2. Colloid solution ????
  • Volume expenders
  • Dextran ????
  • Plasma ??,???
  • Human serum albumin ????
  • 3. TPN solution (Total parenteral nutrition)
    ??????

10
??Sites of Venipuncture
  • 1. Peripheral vein ???????
  • (1) Superficial vein in limbs
  • Basilic vein
  • Cephalic vein
  • Dorsal venous network
  • Great saphenous vein
  • Small saphenous vein
  • Dorsal foot vein
  • (2) Vein in the scalp

11
2. External jugular vein Internal jugular
vein ???????????
  • Purposes
  • 1)????,?????????
  • 2)??????????????
  • ????,?????????
    3)???????????,????
  • Central venous pressure (CVP)
  • ??????

12
Subclavian vein ??????????
  • 1)?????????????
  • ???(??????????
  • ????),????????
  • ?,?????????
  • 2)???????????,?
  • ???????,??????
  • ?,?????

13
  • 3)???????????,??
  • ??????????
  • 4)??????????
  • 5)??CVP (?????)?
  • Central venous catheter
  • Peripherally inserted central venous
  • catheter

14
??Regulating and Monitoring Intravenous
Infusion ?????????
  • ????????????
  • ????(??) ????????
  • ?????60
  • ???????????????
  • ????? ????(??)????
  • ????(??)

15
Drop factor
  • Macrodrops
  • 10, 12, 15, 20 drops/ml
  • Microdrips
  • 60 drops/ml

16
??Problems during infusion ?????????
  • 1. Slow flow rate or no infusion
  • ?????????
  • 1)Infiltration ????????
  • ???????????
  • 2)Position of the extremity
  • ??????????
  • ?????????????
  • ????,?????????

17
  • 3)Occlusion of needle or catheter
  • ??or ?? ???
  • ???????? ?????
  • 4)Too low hydrostatic pressure
  • ?????
  • ??????????
  • 5)venous cramp ?????
  • ????????????

18
  • 2. Too Large volume of solution in chamber
  • ???????
  • 3. Too small volume of solution in chamber
  • ???????
  • 4. The surface of liquid fall down
  • automatically
  • ?????????

19
??Infusion reactions ???????
  • 1. Febrile reaction (fever) ????
  • Etiology??????
  • Impureness??
  • ???????????, ??????
  • Incomplete sterilization???
  • ???????????????????
  • ???????
  • Symptoms/ Signsfever, tremble, chill,
  • nausea, vomiting, headache,
    tachycardia

20
Nursing interventions
  • 1. Check solution, medication, IV set
  • 2. Strict aseptic technique ??????
  • 3. ?????????????
  • ????????????
  • 4. Observe ??
  • 5. Notify the physician ????
  • 6. Lab test ??

21
2. Fluid volume excess(overload)
  • Cause ?????
  • SS dyspnea?chest depress ???tachypnea
  • shortness of breath, tachycardia
  • cough?frothy or pinkish sputum ????
  • ? ????rales in the lungs ?????
  • ????, arrhythmia, facial paleness,
  • pitting edema

22
Nursing Interventions
  • 1. Slow or stop infusion, Observe and Notify the
    physician
  • 2. Flowers position with the feet dangling at
    the bedside ???,????
  • 2. Apply tourniquet to limbs ???????
  • 3. Oxygen administration with great flow rate
  • ???????
  • Administer sedative, vasodilators, antiasthma,
  • digitalis, and diuretics.
  • 5. ????200??

23
3. Phlebitis ???
  • Causes Chemical or mechanical irritation
  • Medications ????????????
  • Unsterile ??????????
  • needle or catheter ??????????
  • S/S
  • Redness along the vein ???????????, Swelling
    over the vein, Local pain
  • Increased skin temperature
  • Fever, chill, difficult mobility of limbs

24
Nursing interventions
  • 1. Strict aseptic technique
  • 2. Change vein??????????,?? ????????,??????
  • 3. Dilute and infuse irritating medication
  • slowly
  • 4. Elevate the limb, Immobilization
  • 5. Warm moist therapy 50MgSO4,
  • Physical therapy, Antibiotics

25
  • 4. Air embolism ????
  • Cause Embolus
  • ????---??????
  • Symptoms/signsDiscomfort in chest ??????,pain
    under the sternum,dyspnea
  • cyanosis, tachycardia,????bubble sound ???

26
Nursing intervention
  • 1. Prevention ????????
  • 2. Position ????????????.
  • ??????????????????,?????????,??????,???????,??
    ????????,?????,???????
  • 3. Oxygen administration with high flow rate
  • 4. Observe vital signs and Notify the
    physician
  • 5. Abstract air by CVP ??????????

27
????????
  • ??Devices to Control infusions
  • Roller clamp
  • IV Controller
  • Infusion pump

28
? ?
  • Blood transfusion

29
??????????
  • ?. ?? ???????????
  • ?. ??
  • 1.???????????????
  • ???????????????
  • ??????
  • 2.?????????

30
  • 3.???????????????
  • ??????
  • ?. ??
  • 1.??????????????
  • ??????

31
  • Blood transfusionis the introduction of
    whole blood or blood components into the venous
    circulation.
  • Indirect Blood transfusion
    ???????????????????????
  • Direct Blood transfusion???????????,????????
    ??

32
  • Arterial Blood transfusion
  • Blood aortic arch- coronary -neck artery
    -brain and heart
  • ??????????????????????,?????????????,??????????
    ??????.
  • Application Serious hemorrhage shock or first
    aid resuscitation?

33
??Purposes of transfusion
  • Restore the blood volume ?????
  • Maintain Hb level ????
  • Prevent or treat hemorrhagic disease ??
  • Supply antibody and complement to resist the
    infection ?????
  • Increase colloid osmotic pressure
  • ???????,???????

34
Indications
  • Hemorrhage
  • Anemia
  • Serious infection
  • Disturbances of blood coagulation
  • Hypoproteinemia

35
??Blood and blood products ???????
  • 1. Whole blood ??
  • Fresh blood ???
  • Stored blood ???
  • 2. Blood components ???
  • Plasma ??
  • Red blood cells (Erythrocytes) ???
  • White blood cells (Leukocytes) ???
  • Platelets ???
  • 3. Others Albumin, coagulants

36
??Blood typing and crossmatching
????????
  • Blood groups ?????????????,?????????????,?????
  • Antigens (Agglutinogens)
  • A B AB O
  • Antibodies (Agglutinins)
  • Rh factor

37
2. Blood typing ???????????????????????,???????3
. Cross-matching Test ???????????????????,??????
????????????????????????(??????????????????????)
38
  • Direct Cross-matching Test
  • ????????????????????????????????????????,????
    ????????????????????
  • Indirect Cross-matching Test
  • ??????????????????????????????????

39
??????
  • ???
  • O?
  • AB?
  • ??????
  • ?????

40
????????????
  • ?????
  • ??
  • ????
  • ?????

41
??Autologous transfusion
  1. ???????
  2. ?????????
  3. ??????

42
??Transfusion reactions
  • 1. Febrile reaction ????
  • ????????
  • ?? ?????????
  • ???????????
  • ????????
  • ??
  • ??????????
  • ??

43
2. Allergic reaction ????
  • ?????
  • ???
  • ????????
  • ??????????
  • ?????
  • ??

44
3. Hemolytic reaction ????
  • ???????????????
  • ??RH??
  • ?????? ?????????
  • ?????
  • ???? ????????
  • ??????
  • ???? ????

45
??
  • (1)????
  • (2)????????????
  • (3)????????????
  • (4)?????,????????
  • ??????????????
  • ??,??????
  • (5)?????????????
  • (6)???,?????

46
  • 1?????????????
  • ?????? A.???? B.???????
    C.706??? D.??????? E.???????

47
  • 2??????????,????
  • ?1500ml,?????60?/?,
  • ?????????? 15? 15?15?
    15?30? 15?45? 16?

48
  • 3?????????????(???)??????? A.???????
    B.???????? C.??????? D.????????????
  • ????? E.??????????

49
  • 4. ????????????,??
  • ??????
  • A.???? B.????
    C.????? D.??? E.???

50
  • 5. ???????????????
  • A.????B.????C.????D.??????E.??????
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